Patient/caregiver was educated on the side-effects of using Topamax as follows:
Central nervous system side-effects
- Topamax use can result in depression of the central nervous system and lead to episodes of confusion, hallucinations, dizziness, and light-headedness. Also, increased blood ammonia levels secondary to Topamax intake can add to the confusion and dizziness caused by Topamax. Individuals taking Topamax can also present compromised memory and trouble concentrating.
- Topamax use can result in some tingling and numbness in the extremities, with some altered sensations.
- Topamax use, especially in individuals with history of anxiety and bipolar disorder, carries risk of deterioration of mood disorders and worsening of clinical symptoms of mood disorders. Individuals can present with complaints such as, feeling low, anxiety, panic attacks, trouble sleeping, gross appetite changes, impulsiveness, agitation, aggression, and suicidal thoughts.
